Involving expert patients in antiretroviral treatment provision in a tertiary referral hospital HIV clinic in Malawi

BMC Health Services Research

Volumn 12, Issue 1, 2012, Pages

  Tenthani, Lyson ^a,b   Cataldo, Fabian ^a,g   Chan, Adrienne K ^a,c,d   Bedell, Richard ^a   Martiniuk, Alexandra Lc ^c,e,f   Van Lettow, Monique ^a,c  

^a DIGNITAS INTERNATIONAL   (Malawi)

^b MINISTRY OF HEALTH   (Malawi)

^c UNIVERSITY OF TORONTO   (Canada)

^d ST MICHAEL'S HOSPITAL   (Canada)

^e SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^f UNIVERSITY OF SYDNEY   (Australia)

^g UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

Antiretroviral treatment; Expert patients; Malawi; Task Shifting

Indexed keywords

ANTIRETROVIRUS AGENT;

ADULT; ARTICLE; FEMALE; HEALTH AUXILIARY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MALAWI; MALE; MIDDLE AGED; OUTPATIENT DEPARTMENT; PATIENT ATTITUDE; PROFESSIONAL DELEGATION; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; TERTIARY HEALTH CARE;

ADULT; ANTI-RETROVIRAL AGENTS; COMMUNITY HEALTH WORKERS; DELEGATION, PROFESSIONAL; FEMALE; HIV INFECTIONS; HUMANS; MALAWI; MALE; MIDDLE AGED; OUTPATIENT CLINICS, HOSPITAL; PATIENT ACCEPTANCE OF HEALTH CARE; QUALITATIVE RESEARCH; TERTIARY CARE CENTERS;

EID: 84861957339     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-12-140     Document Type: Article

References (24)

1. Justice J, Investigation of approaches to home based care in Malawi with specific reference to Lighthouse home based care services: Evaluation report Lilongwe: Lighthouse International 2005
2. Kober K, van Damme W, Human Resources for Health and ART Scale-up in sub-Saharan Africa: a background paper for the MSF Access to Essential Drugs Campaign Antwerp: Institute of Tropical Medicine 2005
3. Kober K, van Damme W, EPs and AIDS Care: A literature review on EP programmes in high-income countries, and an exploration of their relevance for HIV/AIDS care in low-income countries with severe human resource shortages Berlin and Antwerp: Institute of Tropical Medicine 2006
4. Human Resources in the Health Sector: Toward a Solution Lilongwe: Government of Malawi 2004
5. Malawi Demographic and Health Survey Zomba: NSO 2010 http://www. measuredhs.com/pubs/pdf/HF34/HF34.pdf (accessed 05/03/2012)
6. Human resources requirements for highly active antiretroviral therapy scale-up in Malawi. Muula AS, Chipeta J, Siziya S, et al. BMC Health Serv Res 2007 7 208 10.1186/1472-6963-7-208 18093318 (Pubitemid 351207866)
7. Human Resources for Health Census Lilongwe: Government of Malawi 2007
8. Organisation WH, Task Shifting: rational redistribution of tasks among health workforce teams Global Recommendations and Guidelines. Geneva: WHO 2007 2007
9. UNAIDS Policy Brief: The Greater Involvement of People Living with HIV (GIPA) UNAIDS: Geneva 2007 data.unaids.org/pub/BriefingNote/2007/jc1299-policy- brief-gipa.pdf (accessed 05/03/2012)
10. Warren W, Improving quality of HIV care in a staff limited rural health center in Namutumba District Eastern Uganda Kampala: USAID Healthcare Improvement project 2011 Available at: http://www.hciproject.org/node/2239
11. Tracking the rise of the Expert Patient in evolving paradigms of HIV care. Kielmann K, Cataldo F, AIDS Care 2010 22 1 21 28 10.1080/09540121003721000 20680857
12. Standardized patients for HIV/AIDS training in resource-poor settings: the expert patient-trainer. Seung KJ, Bitalabeho A, Buzaalirwa LE, et al. Acad Med 2008 83 12 1204 9 10.1097/ACM.0b013e31818c72ac 19202501
13. Outcome assessment of decentralization of antiretroviral therapy provision in a rural district of Malawi using an integrated primary care model. Chan AK, Mateyu G, Jahn A, et al. Trop Med Int Health 2010 15 90 97 20586966
14. Task-shifting of antiretroviral delivery from health care workers to persons living with HIV/AIDS: clinical outcomes of a community-based program in Kenya. Selke HM, Kimaiyo S, Sidle JE, et al. J Acquir Immune DeficSyndr 2010 55 4 483 90 10.1097/QAI.0b013e3181eb5edb
15. A model for extending antiretroviral care beyond the rural health centre. Wools-Kaloustian KK, Sidle JE, Selke HM, et al. J Int AIDS Soc 2009 29 12 22
16. Distribution of antiretroviral treatment through self-forming groups of patients in Tete province, Mozambique. Decroo T, Telfer B, Biot M, et al. J Acquir Immune DeficSyndr 2011 56 39 e44 10.1097/QAI.0b013e3182055138
17. Scaling up access to antiretroviral treatment in southern Africa: who will do the job? Kober K, Van Damme W, Lancet 2004 364 9428 103 107 10.1016/S0140-6736(04)16597-5 15234864 (Pubitemid 38968632)
18. Kober K, Van Damme W, Expert patients and AIDS care: A literature review on expert patient programmes in high-income countries, and an exploration of their relevance for HIV/AIDS care in low-income countries with severe human resource shortages Africa: Electronic resource center for human resource in Africa 2006 Available at: http://www.eldis.org/fulltext/kober-vandamme.pdf
19. People living with HIV: sources of information on antiretroviral treatment and preferences for involvement in treatment decision-making. Kremer H, Ironson G, Eur J Med Res 2007 12 1 34 42 17363356
20. Evans M, Roux P, Essajee S, Task shifting in pediatric ARV clinics through employment of EPs International AIDS Conference XVII, Mexico City, Mexico, August: Poster presentation 2008
21. EP trainers strengthen the healthcare team. Tried and Tested: Models for the Scale-Up of HIV Prevention, treatment and care in South Africa and Beyond Mthata: Regional Training Centre 2010 Available at: http://www.doh.gov.za/aids/ hiv/expert-patient-trainers.pdf 22837429
22. A systematic review of task- shifting for HIV treatment and care in Africa. Callaghan M, Ford N, Schneider H, Hum Resour Health 2010 31 8 8
23. Health workforce skill mix and task shifting in low income countries: a review of recent evidence. Fulton BD, Scheffler RM, Sparkes SP, Auh EY, Vujicic M, Soucat A, Hum Resour Health. 2011 9 1 1 10.1186/1478-4491-9-1 21223546
24. Are Expert Patients an Untapped Resource for ART Provision in Sub-Saharan Africa. Decroo T, Van Damme W, Kegels G, Remartinez D, Rasschaert F, AIDS Res Treat 2012 2012 749718 22577527